Abstract
Antibodies against hepatitis B surface antigen and against anti-hepatitis B surface antigen idiotype were assayed after immunization with hepatitis B vaccine both in sera, by enzyme-linked immunosorbent assay (ELISA), and in peripheral blood mononuclear cells, by enzyme-linked immunospot (ELISPOT) assay. After vaccination of 19 subjects, antibody to the idiotype of anti-hepatitis B surface antigen was detected in none of the sera tested with ELISA, but antiidiotypic antibody-secreting cells were detected by ELISPOT assay in 4 (36.4%) of the 11 vaccine recipients who were positive for anti-hepatitis B surface antigen with ELISPOT assay. On the other hand, these cells were detected in none of those who remained seronegative for anti-hepatitis B surface antigen, or in the 7 normal subjects or the 2 chronic hepatitis type C patients. These results suggest that anti-idiotypic antibody production is more sensitively detected by ELISPOT assay than by ELISA, and anti-idiotypic antibodies to anti-hepatitis B surface antigen may be present in those with anti-hepatitis B surface antigen.
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Part of this work was published in abstract form (Gastroenterology 98: A457, 1990) and presented at the annual meeting of the American Gastroenterological Association (1990).
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Kobayashi, K., Ueno, Y., Suzuki, H. et al. Anti-Idiotypic antibody production in hepatitis B vaccine recipients. J Gastroenterol 29, 740–744 (1994). https://doi.org/10.1007/BF02349280
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DOI: https://doi.org/10.1007/BF02349280